2020 TT HealthWatch Archive

TT HealthWatch – Friday, February 14, 2020

This week's topics include coronavirus update, naloxone laws and dispensing, neurologic disorders and suicide, and medications versus lifestyle changes for diabetes and high cholesterol.

0:41 Coronavirus update
1:41 Slightly elevated prothrombin time
2:41 Death of whistleblower
3:20 Rise in suicide
4:22 Central nervous system infections, others
5:20 Parkinson's about twice as likely
6:23 Can't impose constraints in US
6:49 Medications and lifestyle changes
7:50 Placed on meds and were they associated with lifestyle changes?
8:50 Hard to say medications were to blame
9:48 How does access to naloxone change when scripts aren't needed
10:50 Increased by over 2000%
11:40 May make naloxone over the counter
12:50 End

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TT HealthWatch – Friday, February 7, 2020

This week's topics include coronavirus update, treating burns in kids, CT for lung cancer screening, and primary care physician visits.

0:54 Coronavirus update
1:52 Quarantine for 14 days
2:52 Asymptomatic transmission
3:40 Immediate management of burns in kids
4:40 Almost 10% need skin graft
5:42 People put on salves, aloe vera
6:16 Volume-based CT and lung cancer
7:17 In smaller number of women
8:16 Certain size determines follow up
9:15 Spontaneous resolution of small nodules
9:34 Dropping use of primary care visits
10:35 Routine scheduled visits went down
11:35 More efficient health care?
12:10 End

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TT HealthWatch – Friday, January 31, 2020

This week’s topics include the Wuhan coronavirus, treating H.pylori and gastric cancer, human versus analogue insulin, and one marker of acute kidney injury.

0:54 The new coronavirus
1:52 Fluid from lung samples
2:50 15% died in first analysis
3:50 China making great attempts
4:04 Differences in cardiovascular outcomes in insulins
5:04 Four healthcare delivery systems
6:04 Do not change hard endpoints
7:04 The price gouging is dramatic
7:18 Treating helicobacter pylori infection and gastric cancer
8:18 Treatment with proton pump inhibitors and antibiotics
9:20 Acute kidney injury factor
10:20 Assessed risk at 7 days
11:22 Prove that in a mouse model
13:22 End

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TT HealthWatch – Friday, January 24, 2020

This week’s topics include blood levels of sunscreen ingredients, a new drug for heavy menstrual bleeding in women with fibroids, trying to stave off sepsis, and fish oil and sperm quality.

1:17 Vitamin C, thiamine, and hydrocortisone in sepsis
2:17 Mortality and other endpoints
3:16 Prompt use of antibiotics does help
3:36 Fish oil and sperm quality
4:36 In otherwise healthy men
5:38 Might improve sperm quality decline
6:00 Sunscreen ingredients in plasma and skin
7:00 All six of tested ingredients were in plasma surpassing FDA threshold
8:00 Doesn't indicate harm yet
8:40 Heavy menstrual bleeding and uterine fibroid treatment
9:40 Been used in endometriosis
10:40 Hot flashes associated
11:24 End

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TT HealthWatch – Friday, January 17, 2020

This week’s topics include preventing gout with a diabetes medication, physician time on EHR in outpatient visits, ageotypes, and FDA changes to the approval process and outcomes.

0:48 Personal aging markers and ageotypes
1:48 184 molecules associated with age
2:48 Clinical implications unclear
3:49 Individuals vary a lot
4:17 Physician time on the EHR
5:15 17% of time ordering
6:15 Falls on physician to enter
6:42 Two types of diabetes meds and gout risk
7:43 40% reduction with SGLT2 inhibitors
8:43 Gout affects almost 10 million people
9:06 Looked at 25 years of FDA approval process
10:06 All attempts haven’t improved overall process
11:06 Fewer studies and fewer patients
12:07 End

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TT HealthWatch – Friday, January 10, 2020

This week’s topics include arthritis and depression, AI and physician decisions in hospitalized patients, five ways for doctors to practice presence with patients, and health care hotspotting.

0:48 Healthcare hotspotting
1:45 95% of individuals did receive prescribed care
2:56 Five strategies to foster physician presence
3:58 Prepare with intention
4:56 Physicians would concur
5:58 Many barriers
6:19 Hospital based AI system
7:15 6500 patients
8:13 Guarded about such systems
9:10 Arthritis and depression
10:20 Lots in the southern states in U.S.
11:22 Results in poor compliance
12:22 End

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TT HealthWatch – Friday, January 3, 2020

This week’s topics include the impact of hospital mergers, gene therapy for hemophilia, infections and diabetes control, and alcohol consumption and atrial fibrillation.

0:44 Alcohol consumption and atrial fibrillation
1:44 70 patients in each of two arms
2:44 Almost 60% of Americans drink regularly
3:44 Lost nine or ten pounds
4:24 Gene therapy for hemophilia
5:24 Large gene that needed two procedures
6:26 Not only cost of therapy
6:44 Infections and diabetes control
7:44 Diabetes and poor control had 4X risk
8:45 Mortality as high as 20-25%
9:10 Hospital mergers and quality of care
10:09 Modest decline in patient experience
11:10 So many health systems using to remain profitable
12:13 End

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